面部除皱外科手术治疗发展沿革

The developing evolution of facial rhytidectomy

面部除皱术是面部年轻化外科治疗的主要方法。随着人们对面部衰老机制和结构变化认知的加深, 手术方式也在不断变化。该文结合面部除皱术的产生时间、发展顺序, 以及不同手术方式涉及的解剖层次递进展开, 对面部除皱手术的发展进程进行综述, 详细介绍了皮肤及皮下、浅表肌腱膜系统筋膜、骨膜下平面的各种除皱术式的优缺点, 以及发展过程中为顺应微创手术潮流、减少术后并发症所提出的优化方案, 针对鼻唇沟、口角囊袋、下颌缘松弛等常见的面部老化具体问题提出的改良术式等。

Facial rhytidectomy is the main surgical treatment for facial rejuvenation.With the increase of People’s understanding of the facial aging mechanism and structural changes,the surgical methods are also changing.This article summarized the development of the rhytidoplasty by combining the origin,development steps and the anatomical levels involved in different surgical methods.It detailed both advantages and disadvantages of various surgery methods related to the skin and subcutaneous,superficial musculoa-poneurotis system,and subperiosteal plane,as well as the optimization plans proposed during the development process to comply with the trend of minimally invasive surgery and less postoperative complications.Improved surgical methods were proposed for specific common facial aging problems such as nasolabial folds,perioral mounds and double chins.